Provider Demographics
NPI:1598704801
Name:VERSTEEG, KYLE REECE (MD)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:REECE
Last Name:VERSTEEG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:310 2ND AVE S
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-3710
Mailing Address - Country:US
Mailing Address - Phone:515-955-6797
Mailing Address - Fax:515-576-3450
Practice Address - Street 1:310 2ND AVE S
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-3710
Practice Address - Country:US
Practice Address - Phone:515-955-6797
Practice Address - Fax:515-576-3450
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2014-02-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA19974208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA05238003Medicare Oscar/Certification